Page (PDF) | 19 |
---|---|
Certificate Number | 1435 |
Name of Deceased | Custus, Jackson |
Place of Death | Somerset |
Town of Death | Upper Fairmount |
Sex | M |
Race | black |
Married, Widowed, or Single | widowed |
Date of Birth | unknown |
Age (year, month, days) | abt 77 |
Occupation or Employer | gen laborer |
Birthplace | Maryland |
Father's Name | unknown |
Father's Birthplace | unknown |
Mother's Name | unknown |
Mother's Birthplace | unknown |
Informant (Relationship and Address) | Oliver Custus; Upper Fairmount |
Date of Death | 1/1/1919 |
Cause of Death and Time Attended by Doctor | arterio sclerosis; abt 1 yrs |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | GE Dickinson; Upper Fairmount |
Burial Place, Date, Undertaker, and Address | Upper Fairmount; 1/3/1919; Herbert Wilson; Up Fairmount |
Length of Residence, Where Disease Contracted, Former Residence | 77 yrs |
Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)]
, Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)]
, Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.